Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CHILDREN'S HOSPITAL OF PHILADELPHIA

NPI: 1568552933 · BROOMALL, PA 19008 · Pediatrics Physician · NPI assigned 10/13/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official STONE, FABIAN controls 20+ related entities in our dataset. Read more

$494K
Total Medicaid Paid
14,872
Total Claims
14,553
Beneficiaries
35
Codes Billed
2018-02
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSTONE, FABIAN (VP REVENUE CYCLE)
Parent OrganizationCHILDREN'S HOSPITAL OF PHILADELPHIA
NPI Enumeration Date10/13/2006

Related Entities

Other providers sharing the same authorized official: STONE, FABIAN

ProviderCityStateTotal Paid
THE CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $11.89M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $5.56M
CHILDRENS HOSPITAL OF PHILADELPHIA KING OF PRUSSIA PA $2.38M
CHILDREN'S HOSPITAL OF PHILADLEPHIA SPRINGFIELD PA $2.26M
THE CHILDREN'S HOSPITAL OF PHILADELPHIA NORRISTOWN PA $2.21M
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $2.17M
CHILDREN'S HOSPITAL OF PHILADELPHIA WEST CHESTER PA $2.08M
CHILDREN'S HOSPITAL OF PHILADELPHIA COATESVILLE PA $1.67M
CHILDREN'S HOSPITAL OF PHILADELPHIA SOUDERTON PA $1.61M
CHOP CLINICAL ASSOCIATES, INC BURLINGTON TOWNSHIP NJ $1.45M
CHILDREN'S HOSPITAL OF PHILADELPHIA ABINGTON PA $1.39M
CHILDREN'S HOSPITAL OF PHILADELPHIA KENNETT SQUARE PA $1.35M
THE CHILDREN'S HOSPITAL OF PHILADLEPHIA CHALFONT PA $1.12M
CHILDREN'S HOSPITAL OF PHILADELPHIA NEWTOWN PA $982K
CHILDREN'S HOSPITAL OF PHILADELPHIA GLEN MILLS PA $914K
CHILDREN'S HOSPITAL OF PHILADELPHIA CHALFONT PA $824K
CHILDREN'S HOSPITAL OF PHILADELPHIA DOYLESTOWN PA $772K
CHOP CLINICAL ASSOCIATES, INC MOORESTOWN NJ $681K
CHILDREN'S HOSPITAL OF PHILADELPHIA PHILADELPHIA PA $676K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41 $1K
2019 175 $4K
2020 1,560 $22K
2021 2,834 $47K
2022 3,767 $100K
2023 3,265 $156K
2024 3,230 $164K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,431 4,335 $274K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 814 798 $79K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 452 452 $24K
90460 Immunization administration through 18 years of age via any route, first or only component 356 332 $13K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 264 263 $13K
90686 1,520 1,498 $11K
90670 856 822 $9K
99173 822 807 $9K
90656 592 591 $7K
92551 427 422 $7K
90648 878 844 $6K
90723 627 597 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 93 92 $5K
90688 311 311 $4K
90633 484 475 $4K
90651 386 382 $4K
96127 348 345 $3K
90681 325 313 $3K
90734 226 221 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 27 26 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 142 139 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 25 25 $2K
90620 79 79 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 58 57 $849.32
3008F 74 74 $730.00
99177 16 16 $491.33
96110 Developmental screening, with scoring and documentation, per standardized instrument 27 25 $345.35
90707 35 35 $217.60
90716 35 35 $204.80
90696 41 41 $190.05
90700 12 12 $181.82
90710 28 28 $179.20
90715 36 36 $153.60
96161 13 13 $90.44